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Prior to beginning your clinical practicum, please review the following required clinical experiences with your preceptor.

Skin/ Wound Management
Ostomies/Continent Diversions
Continence
  1. Focused physical exam:
    • Pressure ulcer risk
    • Limb perfusion (ABI, color, pain, etc.)
    • Wound pain
    • Healing ridge (surgical incision)
    • Neuropathy
    • Limb edema 
  2. Assessment of impediments to wound healing and repair.
  3. Assessment of wounds and periwound condition
  4. Identify and implement plan of care for:
    • Pressure ulcers
    • Arterial ulcers
    • Venous ulcers
    • Dehisced surgical wounds
    • Neuropathic ulcers
  5. Selection and use of:
    • Compression therapies
    • Pressure reduction devices for bed, chair, operating room, etc.
  6. Selection and use of appropriate products for:
    • Maintaining moist wound environment
    • Exudate management
    • Odor control
  7. Perform and interpret:
    • Wound culture
    • Ankle/brachial index
  8. Selection and use of appropriate debridement techniques:
    • Autolysis
    • Mechanical
    • Chemical
    • Conservative sharp
  9. Assessment and management of wound/skin complications:
    • Fungal infection
    • Contact dermatitis
    • Irritant dermatitis
    • Bacterial infection
    • Hypergranulation tissue
  10. Observe surgical procedures
  11. Participate/Observe systems improvement projects (i.e. pressure ulcer prevalence and incidence studies or skin champion activities)
  1. Focused abdominal assessment
    • Bowel Sounds
    • Skin Condition
    • Folds, scars, etc.
    • Rectus muscle
  2. Assessment of:
    Rectal reflex (anal wink)
  3. Assess and perform stoma site selection on various body builds, abdominal contours and patient ages.
  4. Selection and use of variety of pouching equipment (one-piece, 2-piece, nonadhesive, reusable, belt, skin barrier paste, powder, adhesives, etc.)
  5. Assessment of stomal conditions (location, lumen opening, color, size, mucocutaneous junction, anomalies, etc.)
  6. Assessment and management of peristomal complications:
    • Fungal infection
    • Irritant & contact dermatitis
    • Mucocutaneous separation
    • Prolapse & hernia
    • Retraction (stomal & peristomal)
  7. Assess need for and perform:
    • Colostomy irrigation
    • Ileal lavage
    • Intubation of continent diversions
    • Urine specimen from urinary diversion
  8. Assessment and management of:
    • Peritubular skin irritation
    • Drainsite condition
    • Percutaneous tubes/drains
    • Fistulas/ draining wounds
  9. Observe:
    • Surgical procedures
    • Bowel exams (i.e. colonoscopy)
    • Setup for outpatient clinic
  10. Teaching and counseling (fluids/diet, ADL/travel, clothing, sexuality, night drainage, etc.)
  11. Participate/Observe systems improvement projects (i.e. product formulary)
  1. Focused Assessments:
    • Abdominal
    • Pelvic
    • Perianal/perineal skin
  2. Assessment of:
    • Rectal reflex (anal wink)
    • Bulbocavernosal reflex (BCR)
    • Strength of pelvic muscles
    • Prolapse
  3. Assessment and management of perineal/perianal skin condition:
    • Fungal infection
    • Irritant dermatitis
    • Contact dermatitis
  4. Observe & interpret:
    • Voided stream
    • Post void residual
    • Bladder diary
      Bowel diary
  5. Perform & interpret:
    • Bladder scan for PVR
    • Provocative maneuvers
  6. Provide instructions for:
    • Pelvic muscles exercises
    • Clean intermittent catheterization
    • Bowel training program
    • Bladder training program (routine, timed, etc.)
    • Urge inhibition
  7. Selection and use of:
    • Containment products (condoms, rectal pouch, catheters, garments, etc.)
    • Skin protectants
    • Pessaries
  8. Observe:
    • ;Biofeedback
    • Electrical stimulation
    • Urodynamics
    • Pelvic floor testing
    • Setup for outpatient clinic
  9. Teaching and counseling:
    • Fluids/diet
    • Laxitives, cathartics, bulking agents
  10. Participate/Observe systems improvement projects (i.e. product formulary)

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